Emerging Mechanisms and Biomarkers Associated with T-Cells and B-Cells in Autoimmune Disorders.

IF 8.4 2区 医学 Q1 ALLERGY
Azhagu Madhavan Sivalingam
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引用次数: 0

Abstract

Autoimmune diseases are characterized by the dysregulation of B-cells, which are responsible for antibody production against pathogens, and T-cells, which play a crucial role in cell-mediated immunity, including both helper and cytotoxic T-cells. These disorders frequently present with abnormal responses from both B- and T-cells, which can have a significant impact on cardiovascular health, particularly among the female patients. Key mechanisms contributing to these diseases include the activation of the NLRP3 inflammasome impaired efferocytosis is the process by which phagocytes clear apoptotic cells to maintain immune and developmental balance. Defects in this process can lead to inflammatory and autoimmune disorders. The gut microbiota helps defend against pathogens and signals immune cells, playing a vital role in human health and is involved in many aspects of the body. Novel therapeutic strategies such as nanomedicine and targeted treatments are being developed to restore immune balance. The significance of thymic homeostasis the influence of viral infections and the presence of tertiary lymphoid structures highlight the need for multidisciplinary approaches in the management of these conditions. A case study of a 9-year-old girl diagnosed with seronegative autoimmune encephalitis, who displayed severe obsessive-compulsive disorder (OCD) and aggressive behavior, exemplifies the complexities involved in treatment. Promising interventions, including CAR-T-cell therapy and nanomedicine, are under development for various autoimmune diseases, such as vitiligo and refractory autoimmune rheumatic diseases (ARDs). Furthermore, emerging therapies, including CAR-T-cell therapy, mRNA-based strategies, and microbiome modulation, are being explored alongside advancements in personalized medicine and early diagnostic techniques to improve patient outcomes for individuals affected by autoimmune diseases.

自身免疫性疾病中与 T 细胞和 B 细胞相关的新机制和生物标志物。
自身免疫性疾病的特征是b细胞和t细胞的失调,b细胞负责产生针对病原体的抗体,t细胞在细胞介导的免疫中起着至关重要的作用,包括辅助t细胞和细胞毒性t细胞。这些疾病经常表现为B细胞和t细胞的异常反应,这可能对心血管健康产生重大影响,特别是在女性患者中。导致这些疾病的关键机制包括NLRP3炎性体的激活,受损的efferocytosis是吞噬细胞清除凋亡细胞以维持免疫和发育平衡的过程。这一过程中的缺陷可导致炎症和自身免疫性疾病。肠道微生物群有助于抵御病原体并向免疫细胞发出信号,在人体健康中起着至关重要的作用,涉及身体的许多方面。新的治疗策略,如纳米药物和靶向治疗正在开发,以恢复免疫平衡。胸腺稳态的重要性、病毒感染的影响和三级淋巴结构的存在突出了在这些疾病的管理中需要多学科方法。一个被诊断为血清阴性自身免疫性脑炎的9岁女孩的案例研究,她表现出严重的强迫症(OCD)和攻击行为,例证了治疗的复杂性。包括car - t细胞疗法和纳米药物在内的有前景的干预措施正在开发中,用于治疗各种自身免疫性疾病,如白癜风和难治性自身免疫性风湿病(ARDs)。此外,随着个性化医疗和早期诊断技术的进步,包括car - t细胞疗法、基于mrna的策略和微生物组调节在内的新兴疗法正在被探索,以改善自身免疫性疾病患者的预后。
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来源期刊
CiteScore
22.30
自引率
1.10%
发文量
58
审稿时长
6-12 weeks
期刊介绍: Clinical Reviews in Allergy & Immunology is a scholarly journal that focuses on the advancement of clinical management in allergic and immunologic diseases. The journal publishes both scholarly reviews and experimental papers that address the current state of managing these diseases, placing new data into perspective. Each issue of the journal is dedicated to a specific theme of critical importance to allergists and immunologists, aiming to provide a comprehensive understanding of the subject matter for a wide readership. The journal is particularly helpful in explaining how novel data impacts clinical management, along with advancements such as standardized protocols for allergy skin testing and challenge procedures, as well as improved understanding of cell biology. Ultimately, the journal aims to contribute to the improvement of care and management for patients with immune-mediated diseases.
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